DR. ROBERT SULLIVAN (NPI# 1538368923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538368923 |
| Entity Type | Individual |
| Full Name | DR. ROBERT SULLIVAN |
| Credential | M.D. |
| Practice Address |
1025 Morehead Medical Dr Suite 225 Charlotte NC 28204-2963 |
| Mailing Address |
927 East Blvd Charlotte NC 28203-5203 |
| Practice Telephone | 7043775772 |
| Mailing Telephone | 7043775772 |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2015-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 19223 | MS | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
2008-01579 | NC | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
32237 | SC | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
2008-01579 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RAILROAD-MEDICARE | P01163110 | 01 |
| NC | 5911895 | 05 | |
| SC | NC1040 | 05 | |
| NC | BCBSNC | 152J3 | 01 |
| NC | RAILROAD-MEDICARE | P01011085 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972131027 | Robert Sullivan | Nurse Practitioner | 8821 Mallory Ct, Waxahachie, TX 75167-6007 | 2020-04-01 |
| 1043799844 | Robert D. Sullivan | Optometrist | 2185 South Mason Rd, Town & Country, MO 63131-1640 | 2018-08-13 |
| 1346602786 | Robert Sullivan | Non-emergency Medical Transport (VAN) | 30 Belmont Rd, Hernando, MS 38632-7601 | 2016-03-24 |
| 1881941706 | Robert Sullivan | Internal Medicine | 294 Highview Dr, Chapel Hill, NC 27517-7911 | 2012-08-09 |
| 1528228871 | Robert Whalen Sullivan | Dentist | 4 Coconut Drive, Commack, NY 11725-1212 | 2008-06-11 |
| 1720207459 | Robert E Sullivan | General Practice | 2116 Harpers Mill Rd, Williamsburg, VA 23185-7521 | 2007-04-24 |
| 1235266115 | Robert L Sullivan | Anesthesiology | 1486 Bay Rd, Stoughton, MA 02072-3801 | 2007-02-27 |
| 1679609911 | Robert Dennis Sullivan | Counselor | 102 Carlanna Lake Road, Ketchikan, AK 99901 | 2007-02-23 |
| 1609931781 | Robert Emmett Sullivan | Family Medicine | 115 N Central Avenue, Adairsville, GA 30103-2467 | 2006-12-27 |
| 1598823049 | Robert Sullivan | Psychiatry & Neurology | 3900 Eubank Boulevard Ne, Suite 9a, Albuquerque, NM 87111-3465 | 2006-12-05 |
| Street Address |
1025 MOREHEAD MEDICAL DR SUITE 225 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28204-2963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447257332 | David Iannitti | Surgery | 1025 Morehead Medical Dr, Ste 300, Charlotte, NC 28204-2963 | 2005-07-07 |
| 1336760628 | Victoria Cleveland | Physician Assistant | 1025 Morehead Medical Dr, Ste 300, Charlotte, NC 28204-2963 | 2020-04-28 |
| 1093349656 | Leah Carnick Ledford | Nurse Practitioner | 1025 Morehead Medical Dr, Ste 500 5th Floor, Charlotte, NC 28204-2963 | 2020-02-23 |
| 1700429222 | Mary Irvine | Nurse Practitioner | 1025 Morehead Medical Dr, Suite 600, Charlotte, NC 28204-2963 | 2019-10-28 |
| 1780231340 | Lauren Lover | Physician Assistant | 1025 Morehead Medical Dr, Ste 200, Charlotte, NC 28204-2963 | 2019-08-19 |
| 1760037634 | Lisa Johnston | Nurse Practitioner | 1025 Morehead Medical Dr, Suite 600, Charlotte, NC 28204-2963 | 2019-08-07 |
| 1104470392 | Claire Lawson | Nurse Practitioner | 1025 Morehead Medical Dr, Suite 600, Charlotte, NC 28204-2963 | 2019-07-26 |
| 1457904971 | Megan Cosgrove | Nurse Practitioner | 1025 Morehead Medical Dr, Suite 300, Charlotte, NC 28204-2963 | 2019-07-23 |
| 1629637061 | Lisa Dunton | Advanced Practice Midwife | 1025 Morehead Medical Dr, Ste 400, Charlotte, NC 28204-2963 | 2019-06-10 |
| 1194282061 | Amy Slana | Nurse Practitioner | 1025 Morehead Medical Dr, Ste 300, Charlotte, NC 28204-2963 | 2019-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263582 | Precise Home Care Service LLC | In Home Supportive Care | 1935 Baxter Street, Unit 101, Charlotte, NC 28204 | 2020-04-07 |
| 1285276253 | Shannon Miller | Counselor | 1432 E Seventh Street, Charlotte, NC 28204 | 2019-10-11 |
| 1194282202 | Madison Joann Mcgarrigle | Behavior Technician | 1401 East 7th Street, Charlotte, NC 28204 | 2019-02-25 |
| 1255802674 | Stacey D. Alston, Dds, Pa | Dentist | 1020 E. 10th St., Suite 1, Charlotte, NC 28204 | 2018-12-11 |
| 1972082097 | Kim Webb Talbert | Nurse Practitioner | Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 | 2018-08-09 |
| 1164910535 | Jesse Elijah Roberts | Counselor | 1801 E 5th Street, #208, Charlotte, NC 28204 | 2018-05-01 |
| 1336696848 | Eight Healthcare | Exclusive Provider Organization | 2455 Weddington Ave, 2110, Charlotte, NC 28204 | 2016-09-01 |
| 1225480551 | Kathleen Quintana Bradley | Physician Assistant | 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 | 2016-07-11 |
| 1184049777 | Della Franklin | Speech-Language Pathologist | 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 | 2014-02-19 |
| 1225459845 | Healing Arts Medical, Pa | Family Medicine | 335 N. Caswell Rd., Charlotte, NC 28204 | 2013-12-27 |
| Find all providers in zip 28204 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447726989 | Gestalt Pain Consultants | Pain Medicine | 10035 Park Cedar Dr Ste 100, Charlotte, NC 28210-8910 | 2018-10-23 |
| 1598893059 | V Pain, LLC | Pain Medicine | 12610 N Community House Rd, Suite 200, Charlotte, NC 28277-3891 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306317011 | United Spine & Pain PC | Pain Medicine | 855 Bradley St Ste A, Concord, NC 28025-2979 | 2018-12-07 |
| 1144604273 | Justis Group of Edenton | Pain Medicine | 905 Cherry St, North Wilkesboro, NC 28659-4251 | 2015-07-18 |
| 1578968079 | Carolinas Center for Advanced Management of Pain | Pain Medicine | 2569 Pembroke Rd, Gastonia, NC 28054-4712 | 2014-10-27 |
| 1255351110 | Scott Richard Johnston | Pain Medicine | 250 Huff Dr, Jacksonville, NC 28546-7369 | 2006-07-20 |
| 1558366385 | Sunil K Arora | Pain Medicine | 1602 Physicians Dr, Suite 103, Wilmington, NC 28401-7363 | 2005-06-17 |
| 1528063542 | Center for Pain Management Pllc | Pain Medicine | 1602 Physicians Dr Ste 103, Wilmington, NC 28401-7350 | 2005-06-16 |
| 1992310502 | Southeastern Pain and Wellness, Pllc | Pain Medicine | 402 W King St, King, NC 27021-9170 | 2020-09-10 |
| 1710592399 | Triangle Pain Institute | Pain Medicine | 2605 Blue Ridge Rd Ste 330, Raleigh, NC 27607-6475 | 2020-09-10 |
| 1144863358 | Envision Pain Management Pllc | Pain Medicine | 107 Haywood Park Dr, Clyde, NC 28721-4405 | 2019-10-21 |
| 1518438811 | Medical Innovations Concepts, P.C. | Pain Medicine | 294 N Nc 16 Business Hwy Ste B, Denver, NC 28037-8741 | 2018-12-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.